MEDICARE: TENNESSEE ORTHOPAEDIC CLINICS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208100000X	Physical Medicine & Rehabilitation Physician
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871522052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE ORTHOPAEDIC CLINICS PC

Provider Business Mailing Address
First Line	:	9129 CROSS PARK DR STE 101
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-4505
Country	:	US
Telephone Number	:	865-694-7725
Fax Number	:	865-694-7907

Provider Business Practice Location Address
First Line	:	9129 CROSS PARK DR
Second Line	:	SUITE 101
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-4505
Country	:	US
Telephone Number	:	865-694-7725
Fax Number	:	865-694-7907

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	ZENA ANN MCCONNELL
Credential	:
Telephone Number	:	865-694-0062

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	12/22/2020

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